口腔醫療資源缺乏地區學童齲齒狀況及其影響因素之探討－以高雄縣內門鄕內門國小為例

Study of Dental Caries Status and Influencing Factors in Primary School Children Residing in Areas Deficient in Oral Medical Resources

周佩螢(Pei-Ying Chou) ； 劉經文(Ching-Wen Liu) ； 陳正慧(Jeng-Huey Chen) ； 陳弘森(Hong-Sen Chen)

《Taiwan Journal of Oral Medicine Sciences》 25卷2期 (2009/08) Pp. 19-30

https://doi.org/10.7059/TJOMS.200908.0019

摘要

本研究目的是希望瞭解中央健康保險局評定為口腔醫療資源缺乏地區的學童其齲齒狀況與其影響因素。此為橫斷面研究，對象為平地口腔醫療資源不足區，至調查之日尚未有牙醫介入照護的高雄縣內門鄉內門國小，95學年度全校1-6年級學生，共計275位。研究方法為檢查其口腔狀況及實施問卷調查，回收的有效問卷共263份。
研究結果此區學童混合齒列的齲齒指數為5.61顆，齲齒盛行率為93.54%，齲齒填補率卻只有13.08%。母親是否為外籍及父親的職業也會影響學童的恆牙齲齒狀況。性別差異方面，女生比男生更重視口腔衛生，因為女生在使用牙線情形及刷牙次數都比男生多，尤其以睡前刷牙之比率差異最大，有82.96%的女生有睡前刷牙的習慣，男生只有69.53%。因地處偏遠地區，醫療資源的供給並不完善，會定期檢查牙齒的學童僅有37位(14.23%)。至於未能定期檢查牙齒的原因，主要為父母工作忙沒有時間佔最多，有129人(57.85%)，其次為害怕看牙醫，有91人(40.81%)。

關鍵字

醫療資源缺乏 ； 齲齒盛行率 ； 口腔健康狀況

並列摘要

The purpose of this study is to analyze the caries status and causing factors in primary schoolchildren that live in areas deficient in dental care. This is a cross-sectional research, targeting pupils in Nei-Meng Primary School, Nei-Meng Village, Kaohsiung Hsien (County), a school without dental care provider in its neighborhood. The study approaches utilize oral examinations and accompany questionnaires. Investigations were conducted on all 275 School Children that were enrolled in 2006, and 263 valid questionnaires were retrieved and evaluated.
The study results indicate that the caries index is 5.61, caries prevalence is 93.54%, while the rate for caries filling is only 13.03%. Nationality of mother or profession of father affects the caries existence in the permanent teeth in these school children. Differences also exist between sexes in self-care of oral hygiene, in that female pupils demonstrate higher frequencies in using dental floss as well as brushing teeth. The difference is more pronounced between sexes in the brushing rate before going to bed at night, as 82.96% of the female pupils are having the brushing habits, while only 69.53% of male pupils conduct such practices. Owing to the distant location of the neighborhood, only 37 School Children (14.23%) are experiencing dental examinations periodically. As for the reasons contributing to the lack of periodical dental examinations, 129 pupils (57.85%) answered ”parents are too busy at work”, and 91 pupils (40.81%) claimed ”fear of seeing dentists”.

並列關鍵字

Medical Resources Deficiency ； Caries Prevalence ； Oral Hygiene Status